Active NPI
Jonathan Fine, DDS
- Endodontics
- Chapel Hill, NC
National Provider Identifier
1841922994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 12847
- Practice address
- 101 Kildaire Rd Apt D
Chapel Hill, NC 27516-0425 - Phone
- (617) 930-1795
- NPI assigned
- Jun 28, 2022
- Last updated
- Aug 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 12847 | NC | Primary |
Addresses
Primary practice location
101 Kildaire Rd Apt D
Chapel Hill, NC 27516-0425
Mailing address
101 Kildaire Rd Apt D
Chapel Hill, NC 27516-0425
Phone (617) 930-1795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240618001376 | NC | Order and Referring Only - Dentist | 7416490545 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1841922994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 KILDAIRE RD APT D",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275160425",
"telephone_number": "617-930-1795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 KILDAIRE RD APT D",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275160425",
"telephone_number": "617-930-1795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-28",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NC",
"license": "12847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.